- Genetic mutations in the F5, F2 and MTHFR genes
- Lack of mobility
- Smoking
- Obesity
- Pregnancy
- Hormone changes – e.g. contraceptive pill
- Age – elderly have an increased risk
- Surgery or injury
- Infections, inflammatory disease, diabetes
- Maintain a healthy body weight
- Follow a healthy diet
- Increase blood flow through physical exercise
- Avoid extended periods of immobility
- Avoid smoking
- Reduce homocysteine levels by obtaining plenty of folate and other B vitamins
- Wear compression stocking on long plane journeys
- Seek medical treatment (e.g. anticoagulants) for very high risk individuals
- F5 – the Factor V Leiden mutation (1691G>A)
- F2 – the prothrombin mutation (20210G>A)
- MTHFR – two mutations (677C>T and 1298A>C)
Patient Genotype | Thrombotic Risk |
Factor V Leiden mutation (heterozygous 1691G>A) in the F5 gene | 3X to 8X increased risk of thrombosis 2X to 11X increased risk of miscarriage |
Factor V Leiden mutation (homozygous 1691G>A) in the F5 gene | 10X to 80X increased risk of thrombosis 2X to 11X increased risk of miscarriage |
Prothrombin mutation (heterozygous 20210G>A) in the F2 gene | 2X to 5X increased risk of thrombosis 2X to 3X increased risk of miscarriage |
Prothrombin mutation (homozygous 20210G>A) in the F2 gene | >5X increased risk of thrombosis 2X to 3X increased risk of miscarriage |
Mutation (homozygous 677C>T) in the MTHFR gene | Increased risk of thrombosis if folate levels are low |
Two mutations (677C>T and 1298A>C) in the MTHFR gene | Increased risk of thrombosis if folate levels are low |